Individual
STACY LEE CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N CARROLL AVE, SOUTHLAKE, TX 76092-3105
(817) 821-5457
Mailing address
4057 STAGHORN CIR N, FT WORTH, TX 76137-1064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008637
TX
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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